Prediabetes: The Silent Signal You Can Change

Prediabtes isn’t “ Almost Diabetes” . This episode explains how type 2 diabetes often begins years before diagnosis as prediabetes — a compensatory metabolic state where insulin resistance, pancreatic stress, liver overproduction of glucose, and visceral fat-driven inflammation quietly disrupt glucose control. You’ll learn the diagnostic thresholds (A1c 5.7–6.4%, fasting glucose 100–125 mg/dL, 2‑hour OGTT 140–199 mg/dL), why different tests can identify different people, who should be tested, and which clinicians to involve (PCP, endocrinologist, dietitian, diabetes prevention programs). The episode emphasizes prevention: lifestyle-based diabetes prevention programs can reduce progression, metformin is not automatic, and early action can change your metabolic trajectory — protecting overall health and reducing future foot and limb complications.